<H1><?=$heading?></H1>
<form method="post" action="">
		Enter a Country or City name:<BR>
		<INPUT TYPE="text" NAME="search" value="Country or City"><BR>
		<INPUT TYPE="text" NAME="from_date" value="FROM">&nbsp;<INPUT TYPE="text" NAME="to_date" value="TO"><BR>
		<INPUT TYPE="submit" value="Check it">
</form>